NCLEX Preparation Course - Critical Thinking Exercises V (Answers 11-20)

Here are the Questions to NCLEX Preparation Course - Critical Thinking V (11-20) -->

11) A
- cheese and milk are rich in sodium.

12) B
- the client with burns in the face experiences airway obstruction; he may also experience suffocation due to inhalation of smoke and therefore should be given highest priority.

13) A
- thickened liquid diet is easier to swallow and is appropriate in a client experiencing dysphagia. Broth, sliced fruits and spaghetti can easily be aspirated.

14) C
- exposure to sunlight causes exacerbation of manifestations of SLE. Therefore, this should be avoided.

15) C
- decreased secretion of adrenal cortex hormones results to hyponatremia, hypotension, hypoglycemia and hyperkalemia. (In addison's crisis: everything is low and slow, except potassium).

16) A
- the expected therapeutic effect of heparin is: Control (normal value) of PTT/APTT X 2 to 2.5

17) A, B, E, F
- dumping syndrome, a complication of gastric surgery is due to rapid gastric emptying into the jejunum causing fluid shift: IVC (intravascular compartment) to ISC (interstitial compartment) producing shock-like manifestations. Hypotension and cold, clammy skin also characterizes shock.

18) A
- decreased secretion of aldosterone leads to loss of sodium ion and water causing decreased in BP.

19) A
- mode of transmission of MRSA is direct contact with skin secretions. The stethoscope should be left in the client's room.

20) B
- this is the only correct nursing action among the choices. Restraints should be secured on the bedframe not on the siderails. Chemical restraints like giving valium, should be used with great precaution. PRN order for restraints is legally unacceptable.


Related Topics:

• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts